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Published on: January 12, 2018
Risks for hypertension among undiagnosed African American mothers and daughters
1School of Nursing, Yale University, New Haven, CT 06536-0740, USA. Jacquelyn.taylor@yale.edu
Insights
Undiagnosed hypertension is prevalent in African American mothers and daughters. Overweight and obesity are linked to higher blood pressure (BP) readings, highlighting the need for early screening in this population.
Area of Science:
- Cardiovascular Health
- Public Health
- Genetics and Family Studies
Background:
- African American children face elevated hypertension risks due to familial factors.
- This study investigated undiagnosed high blood pressure (BP) in African American mothers and daughters.
Purpose of the Study:
- To examine the prevalence of undiagnosed hypertension among African American mothers and daughters.
- To identify risk factors associated with high blood pressure in this demographic.
Main Methods:
- A cross-sectional study design was employed.
- The study included 70 African American mother and daughter pairs from the Detroit metropolitan area.
Main Results:
- Hypertension was diagnosed in 25.7% of mothers and 54.3% of daughters.
- Overweight and obesity were common among participants with pre-hypertension or hypertension.
- Lower diastolic BP correlated with higher BMI in mothers; higher systolic BP related to potassium intake in daughters.
Conclusions:
- Early hypertension screening is crucial for improving African American health outcomes.
- Healthcare providers should adhere to American Academy of Pediatrics guidelines for pediatric hypertension.
- Further research into familial and environmental influences on BP in children is recommended for early risk identification.
Introduction:
This study examines risks for high blood pressure (BP) among undiagnosed African American mothers and daughters, because African American children are at risk for hypertension due to familial influences.
Method:
This study was cross-sectional in design and included 70 African American mother and daughter participants from the Detroit metropolitan area.
Results:
BP readings clinically diagnostic of hypertension were found for mothers (25.7%) and daughters (54.3%), although they were undiagnosed. Many participants with BP readings in pre-hypertension or hypertension categories were overweight or obese (mothers, 90.9%; daughters, 50.2%). Fewer underweight or normal-weight mothers (25.0%) and daughters (64.3%) had BP readings indicative of hypertension. Lower diastolic BP was associated with higher body mass index (BMI) among mothers (r = -.34, P = .045). Higher systolic BP was positively related to potassium consumption among daughters and total African Americans (r = .55, P = .005 and r = .41, P = .003, respectively).
Discussion:
Early screening for hypertension is needed to improve health among African Americans. Health providers should use American Academy of Pediatrics guidelines for determining hypertension in children. Research on familial and environment influences on BP among children is recommended to determine early risk for the development of hypertension.
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